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Hypertension With Brachydactyly Syndrome: A Case Report.
Cureus. 2020 May 28; 12(5):e8329.C

Abstract

We describe the case of a 23-year-old African American male who presented to the emergency department complaining of unremitting dyspepsia for the last four months. His blood pressure was incidentally found to be 230/157 mm Hg. The initial admitting diagnosis in the intensive care unit was hypertensive "emergency" as he had also displayed acute kidney injury that was deemed to be superimposed on chronic kidney disease. While the diagnostic work-up of his hypertension was inconclusive, physical examination was impressive for the presence of brachydactyly of the bilateral hands, especially the fourth digits. His feet appeared grossly normal. X-rays (XRs) of the bilateral hands revealed absent distal phalanges and fused middle and distal phalanges of the second digits. XRs of the bilateral feet showed similar findings in addition to the absence or hypoplasia of the lateral cuneiform bones. His family medical history was unknown as the patient was adopted and did not have contact with his biological parents. Given these findings in the setting of uncontrolled hypertension in a young adult, he was diagnosed with hypertension with brachydactyly syndrome.

Authors+Show Affiliations

Internal Medicine, Texas Tech University Health Sciences Center at Permian Basin, Odessa, USA.Nephrology, Medical Center Health System, Odessa, USA.Internal Medicine, Texas Tech University Health Sciences Center at Permian Basin, Odessa, USA.Internal Medicine, Texas Tech University Health Sciences Center at Permian Basin, Odessa, USA.Internal Medicine, Permian Internal Medicine Associates, Odessa, USA.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

32617206

Citation

Asim, Rizwan, et al. "Hypertension With Brachydactyly Syndrome: a Case Report." Cureus, vol. 12, no. 5, 2020, pp. e8329.
Asim R, Reddy A, Grigorieva Olson O, et al. Hypertension With Brachydactyly Syndrome: A Case Report. Cureus. 2020;12(5):e8329.
Asim, R., Reddy, A., Grigorieva Olson, O., Ronen, J. A., & Prasad, V. (2020). Hypertension With Brachydactyly Syndrome: A Case Report. Cureus, 12(5), e8329. https://doi.org/10.7759/cureus.8329
Asim R, et al. Hypertension With Brachydactyly Syndrome: a Case Report. Cureus. 2020 May 28;12(5):e8329. PubMed PMID: 32617206.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Hypertension With Brachydactyly Syndrome: A Case Report. AU - Asim,Rizwan, AU - Reddy,Anand, AU - Grigorieva Olson,Olga, AU - Ronen,Joshua A, AU - Prasad,Vivek, Y1 - 2020/05/28/ PY - 2020/7/4/entrez PY - 2020/7/4/pubmed PY - 2020/7/4/medline KW - bilginturan syndrome KW - genetic screening KW - glomerulosclerosis KW - htnb KW - hypertension with brachydactyly KW - neurovascular anomaly KW - salt-independent hypertension KW - stroke SP - e8329 EP - e8329 JF - Cureus JO - Cureus VL - 12 IS - 5 N2 - We describe the case of a 23-year-old African American male who presented to the emergency department complaining of unremitting dyspepsia for the last four months. His blood pressure was incidentally found to be 230/157 mm Hg. The initial admitting diagnosis in the intensive care unit was hypertensive "emergency" as he had also displayed acute kidney injury that was deemed to be superimposed on chronic kidney disease. While the diagnostic work-up of his hypertension was inconclusive, physical examination was impressive for the presence of brachydactyly of the bilateral hands, especially the fourth digits. His feet appeared grossly normal. X-rays (XRs) of the bilateral hands revealed absent distal phalanges and fused middle and distal phalanges of the second digits. XRs of the bilateral feet showed similar findings in addition to the absence or hypoplasia of the lateral cuneiform bones. His family medical history was unknown as the patient was adopted and did not have contact with his biological parents. Given these findings in the setting of uncontrolled hypertension in a young adult, he was diagnosed with hypertension with brachydactyly syndrome. SN - 2168-8184 UR - https://www.unboundmedicine.com/medline/citation/32617206/Hypertension_With_Brachydactyly_Syndrome:_A_Case_Report DB - PRIME DP - Unbound Medicine ER -
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